HomeMy WebLinkAboutcover_10Newton PC Office 828- 465 -8399
Hickory PC Office 828.465 -8399
Hickory DAC Office 828323 -7556
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Commercial Plan Review Application Newton PC Fax 8 28- 465 -8962
/ 10 Hickory PC Fax 828322 -6814
1 . / — C� b (`,j 9 Hickory DAC Fax 828- 323 -7474
Name d(Project: 1 6 C °° 'nn rocessm ree
D c G�A t�I' SL er Project Cost: (QOd
Address of Project: 2 [,� S N VJ PIN #
'The plan review section is charged with contacting the business owner, designer, contractor and contact person during the review process
in order to keep everyone updated on progress. The contact information below is vital for this function. Please in
*Plans may be submitted at the Newton or Hickory Permit Centers. clude current information.
of Business: to 'J 'r(, Selatlph94 ?1) ..2.1',
'Designer Name: Ph. q - 2b'.0
Address:
General Contractor:
Address:
C C /lb Contact Person
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Please Check the Zoning and Planning Jurisdiction that your Project is in:
[ ] OClaremont 94 Full Sets with Site PI
Type of Water Service: Is Public Water available on or adjacent to this project? [ ]Yes [y]'No
*If No, a Well Permit must be applied for prior to project review approval, if not already approved.
Are you disturbing more than 1 acre of soil: [ ] Yes [✓]'WO *If yes, 5 sets of erosion control plans and one set of
calculations will need to be submitted. A fee of $200 for the first acre and $150 for each additional acre of disturbed soil will be
collected at the time of plan submittal. Additional applications will be required. Forms are at permit centers.
Is this Project being submitted for Phase Construction: [des [ ] No
*If yes, please check which phase: [t-rTooting / Foundation [ ] Shell / Hull -in [ff X 9
] Up -Fit
Type of Work: [ ] Addition [ ] Alteration [ ] New Construction [ ] Other M ild ✓ �A r "
Type of Use: [ ] Assembly [ ] Business 5 J
[,]'Educational [ ]Factory [ ]Hazardous [ ]Institutiona l
[ ] Mercantile [ ] Multi- family [ ] Modular Office [ ] Townhouse [ ] Storage [ ] Tower [ ] Utility
Will Industrial Machinery be operated in this facility: [L]-No [ ] Yes * If yes, listowners name and number above*
Will electrical Medical Equipment be operated in this facility: [,] -No [ ] Yes * If yes, list owners name and number above*
Ple 1•
lc ewage available on or adjacent to this project? [ ] Yes [ *No
*If No, a Septic permit must be applied for prior to project review approval, if not already approved.
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ans [ ] OLongvlew .4 Full Sets with Site Plans
[ ] OConover *3 Full Sets with Site Plans [ ] OMaiden 94 Full Sets with Site Plans
[ ] = County *5 Full Sets with Site Plans [ ] ONewton *3 Full Sets with Site Plans
[t =H 4 ickory 97 Full Sets with Site Plans [ ] OTown of Catawba . Full Sets with Site Plans
=A Zoning Application and Grading application( if City of Hickory) must be submitted with plans.
*Number of sets of complete plans submitted to the Permit Center,
OThese Zoning Departments require plans be submitted to their offices in addition to listed above.
Plea Check Fire Bureau that your Project is in:
[ Ickory [ ] Conover [ ] Newton [ ] County (includes Claremont, Maiden, Longview, and Town of Catawba)
Does the Project have a Fire Alarm System: [ ] Yes [- lO
Does the Project have a Sprinkler / Standpipe System: [ ]Yes [A
*Sprinkler Plan Submission to the County, Hickory, Conover or Newton Fire Bureaus' is the responsibility of the customer and must
be forwarded to the Permit Center when completed and approved.
Will this Project require Environmental Health Review: [ ] Yes [,]moo
*If yes, submit one set of plans to Environmental Health with appropriate fee (reverse side of this form lists information).
Type of Sewage Disposal• Is 0 . 61 i S
ase ISt the square footages of this project:
Applicants Name �l -•Ar-A s, _;A, z
Created on 08/26/2005 5:16:00 PM
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